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MR. PRAFUL R MEHTA M.D.
NPI 1831284892
Internal Medicine in San Antonio, TX

Active since October 04, 2006PECOS Enrolled
6100 BANDERA RD, SUITE 710, SAN ANTONIO, TX 78238(210) 523-9800(210) 523-9803 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Praful R Mehta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PRAFUL R MEHTA M.D. (NPI 1831284892) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (F5654) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831284892
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. PRAFUL R MEHTACredential: M.D.
Location Address6100 BANDERA RD, SUITE 710San Antonio, TX 78238-1652
Mailing Address6100 Bandera Rd, Suite 710San Antonio, TX 78238-1652 · (210) 523-9800 · Fax (210) 523-9803
Phone(210) 523-9800
Fax(210) 523-9803
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 16, 2010
✔ NPI 1831284892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · F5654
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6100 BANDERA RD, San Antonio, TX 78238
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Other Identifiers 4

Other110160381TX · Medicare Railroad
Medicare UPIND66970TX
Medicare ID-Type Unspecified00J51FTX
Medicaid1367757-03TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Praful R Mehta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
165 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78238 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH M LYSSY JR. M.D.
Family Medicine
6100 BANDERA RD, 403
SAN ANTONIO, TX 78238
Bexar County (210) 256-9500
KENNETH M. LYSSY JR MD PA
Family Medicine
6100 BANDERA RD, SUITE 403
SAN ANTONIO, TX 78238
Bexar County (210) 256-9500
PAIN & NEUROMUSCULAR CLINIC OF TEXAS , P.A.
Specialist
6100 BANDERA RD, 710
SAN ANTONIO, TX 78238
Bexar County (210) 826-2311
LAWRENCE PAUL DIMICELI DDS
Dentist
6100 BANDERA RD, STE 300
SAN ANTONIO, TX 78238
Bexar County (210) 680-1618
DR. KATHLEEN JANE LYSSY M.D.
Internal Medicine
6100 BANDERA RD, 403
SAN ANTONIO, TX 78238
Bexar County (210) 256-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Praful Mehta's NPI number?

The NPI number for Praful Mehta is 1831284892. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Praful Mehta located?

Praful Mehta practices at 6100 Bandera Rd Suite 710, San Antonio, TX 78238. The listed phone number is (210) 523-9800.

What is Praful Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Praful Mehta enrolled in Medicare?

Yes. Praful Mehta is registered in the Medicare PECOS enrollment system.

What insurance does Praful Mehta accept?

Health plans from Blue Cross and Blue Shield of Texas list Praful Mehta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Praful Mehta was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.